Organization
EYE SURGERY CENTER OF NORTHERN NEVADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B CHAFFIN M.D. (MEDICAL DIRECTOR)
(775) 329-2300
Entity
Organization
Contact information
Practice address
5420 KIETZKE LN, SUITE 103, RENO, NV 89511-2061
(775) 329-2300
(775) 329-5514
Mailing address
5420 KIETZKE LN, SUITE 103, RENO, NV 89511-2061
(775) 329-2300
(775) 329-5514
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
NV
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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